Integrated Management System Policy

Policy statement

• EHS leadership shall be commits to review and update the policy to ensure its effectiveness and alignment with the services and operations of EHS.
• EHS commits to implementing the following principles and directions for the application of the Integrated Management System:
• Ensuring that the Integrated Management System aligns with the Emirates Health Services scope of work, operations, services, strategic direction, and the needs and expectations of all interested parties, while ensuring adherence to best practices in providing outstanding healthcare services, as per Governance Policy, Code: DG/Admin/047.
• Ensuring continuous improvement of the Integrated Management System by providing adequate resources, meeting key performance indicators through setting, monitoring, and periodically reviewing objectives, as per Governance Policy, Code: DG/Admin/047 & Reporting and Developing Key Performance Measures in EHS, Code: DG/Admin/109.
• Responsibly addressing interested parties’ complaints, ensuring their efficient, effective, urgent, and fair resolution through the complaints and observations system, as per Management of medical complaints, Code: DG/Admin/081, Management of Complaints at EHS, Code: DG/Admin/203.
• Developing safe working environment by motivating, engaging, and training the workforce to ensure goal achievement and the best outcomes as per Training of Medical, Nursing and Allied Health Care Trainee at Emirates Health Services EHS policy,Code:DG/ Admin/ 115.
• Identifying all environmental aspects related to EHS, evaluating, and mitigating their negative effects to preserve environmental resources, reduce environmental pollution, and comply with other relevant organizational contexts as per Emirates Health Services Facility Management and Safety Manual, Code:DG/Manu/193.
• Effectively managing incidents that may disrupt EHS core operations, in line with the business continuity program objectives within the defined scope and enhancing EHS resilience as per Occurrence Variance Reporting Policy, Code: DG/Admin/037, Sentinel and Serious Adverse Event Management Policy, Code: DG/Admin/013.
• Identifying all health and safety risks associated with the EHS activities and operations, evaluating their potential impacts, and mitigating them to minimize injuries affecting interested parties’ through an effective program for managing occupational health and safety risks as per Risk Management Framework policy, Code:DG/ Clin/085 & Infection Control Risk Assessment, Code: DG/ Clin/ 059.
• Protecting all assets and properties by implementing preventive maintenance plans and using the best methods to manage various asset types.
• Effectively safeguarding information by ensuring its availability, confidentiality, and integrity standards, preventing unauthorized access through meeting the information security management system requirements, and managing associated risks as per Information Security Policies Manual, Code: DG/Manu/138.

The Integrated Management Policy shall comply with the following standards:

• Joint Commision International Standard
• Accreditation Canada (Qmentum Accreditation Program)
• NCEMA 7000:2021
• ISO ((ISO 9001:2015), (ISO 14001:2015), (45001:2018), (ISO 22301:2019), (ISO 31001:2018), (ISO/IEC 27001:2022), (ISO/IEC 20000-1:2018), (ISO 21500:2012), (ISO/TS 29585:2010), (ISO 23592:2021), (ISO 20252:2019)).
• The Qualiy Department shall plan annually for the ISO certification / audits.
• When the healthcare facility or an EHS department is due to internal audits, a qualified member (interal / external) shall use the internal audit plan to documents auditee’s details.
• Internal or External auditor shall use the internal audit report to communicate findings and observations.